Diagram 17. Personnel that conducted a medical certification upon admission to a temporary detention facility . Usually, per request of an investigator, a standard medical certification form is filled out to establish a detainee’s state of intoxication and history of abusing psychoactive substances. However, the administration of such an examination has not been recorded in detainees’ files. Almost all the surveyed detainees indicated that physicians conducted medical examinations for formality’s sake and simply ask detainees whether they have any complaints. If a detainee answers “no,” then no actual physical examination would take place. A case of detainee “N” can serve as an example of such “medical examinations.” A physician being on the monitoring team discovered injuries on the back of a detainee held in one of TDFs. It seemed like the injuries resulted from beating with a rubber baton, which has been reported by the physician in writing. When the physician requested the detainee’s medical reports from the TDF medical assistant, the latter began yelling at the detainee and reprimanding him for not contacting him directly. It was written in the medical report provided by the TDF medical assistant: “No complaints.” In the medical assistant’s opinion, this was a report of proper medical examination.130 The monitoring has revealed a lack of a single standard and approved medical certification form for registering bodily injuries and detainee’s state of health upon admission to TDFs. As a rule, it is paramedical personnel that prepares reports on bodily injuries. These reports often do not contain full information, lack proof and information about causes of injuries and do not reflect detainees’ health conditions. Example: “On July 11, 2010, detainee, S. underwent a physical examination. The detainee complained about pain in his chest, his hands, his head and a feeling of paralysis in his legs. Diagnosis: Chest bruising; open fracture of the left hand. Aid provided: analgene, diphenhydramine, procaine, consultation from a surgeon-on-duty. Signature of a paramedic: H.”131 Neither circumstances in which the injury was received nor information of surgical service due to the open fracture were specified in this record. Example: “Detainee N. Diagnosis: traumatic injury of the eardrum.” Circumstances about how the injury was received were not specified. Example: “On March 14, 2011, an ambulance for detainee D was called. The detainee was diagnosed with acute endodontitis. Advice given.”132 Thus, it can be concluded that in practice, medical examinations are not consistent with the required procedure for the purposes of effective documentation of torture and cruel treatment. The observers also noted that, in violation of the relevant legal provisions, some TDFs lack special logs for registering calls to ambulance and medical treatment logs. Ambulance calls are registered by TDF members of staff in a Register for Persons Brought to IAB. That said, a the Tyup district IAB TDF has a register for examinations of persons with venereal diseases. The observers have discovered that all persons delivered to TDFs undergo a blood test for sexually transmitted diseases, meaning that the blood test is made without the detainees’ consent. No one from the detention facility staff could explain the need for such a test. It was discovered that only one of the 47 TDFs monitored maintained such a register. 130 131 132 Monitoring Report No. 8/3,19/О. Monitoring Report No. 16/3/О. Monitoring Report No. 7/3/О. 55